Estimation of daily calorie intake in

patients with diabetes mellitus

1. Ideal weight:
IW = Height (m2) x 22
Example: G, 43 years old, male, height 172cm, weight 73кg,
occupation - teacher. IW = (1.72)2 x 22 = 65кg

2. Basal metabolic rate:

BMR = *n x IW
Age group Male (*n) Female (*n)
30-49 22.3 21.7
50-69 21.5 20.7

Example: G, 43 years old, male, height 172cm, weight 73кg,

occupation - teacher.
BMR = 65x22.3=1450kcal
3. Daily calorie intake:
Daily calorie intake = BMR x ____** (physical activity)
Low Moderate Vigorous
1.5 1.75 2.0

Example: G, 43 years old male, height 172 cm, weight 73кg,

occupation - teacher.
Daily calorie intake = 1450 x 1.5 = 2174 kcal

4. Daily intake “unit”:

Daily intake unit = Daily calorie intake : 80
(80kcal = 1 unit)
Example: G, 43 years old male, height 172 cm, weight 73кg,
occupation - teacher.
Daily intake unit = 2174kcal : 80 = 27
 “Diabetes Food Pyramid”
 The Diabetes Food Pyramid
divides the food into six sections
or groups. These groups are not
similar, they vary in size.
 The largest group includes
beans, grains, starchy
vegetables, pastas and lies at
the bottom of the diabetes food
pyramid.
 The smallest group including
fats, sweets, alcohol lies at the
top of the Diabetes Food
Pyramid.
 “Diabetes Food Pyramid”
Foods are divided into six sections or groups.
Group Foods
I Grains, Breads & other Starches
II Fruits
III Meats and protein
IV Milk
V Fats, Oils, Sweets
VI Vegetables
 Daily Calorie Intake should be
divided in 6 groups
Group 20 21 22 23 24 25 26 27 28 29 30

I 11 11 12 12 12 12 12 13 14 15 15

II 1 1 1 1 2 2 2 2 2 2 3

III 4 5 5 5 5 5 6 6 6 6 6

IV 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5

V 1 1 1 2 2 2 2 2 2 2 2

VI 1 1 1 1 1 2 2 2 2 2 2
 An example of 27 daily calorie intake (2147 kcal)’s
divided in 6 groups of pyramid
Group Total Breakfast Lunch Dinner
Grains, Breads &
I other Starches 13 4 5 4
II Fruits 2 2
Meat and
III protein 6 1 3 2
IV Milk 1,5 1,5
V Fats, Oils, Sweets 2 1 1 -
VI Vegetables 2 1 1
Total 27 7 8 7
 PHYSICAL ACTIVITY
PHYSICAL ACTIVITY
 Physical activity is classified
 Aerobic exercises, such as walking, cycling and
running, focus on increasing cardiovascular
endurance, caloric consumption and contribute to fat
burning.

 Anaerobic exercises, such as

weightlifting increase muscular
strength
 Principals of physical activity
• Moderate exercise:
– Jogging (100 steps/min)
– Cycling (10-12 km/h)
– Dancing, swimming etc.
• At least total of 150 minutes per week
• After meal should be desirable
• Physical activity should be non-stop from 20-
30 minutes to 60-80 minutes.
 Benefits of physical activity in
diabetes
 Increasing insulin sensitivity and decreasing blood
glucose level
 Burning excess body fat, helping to decrease and control
weight (decreased body fat results in improved insulin
sensitivity)
 Lowering blood pressure
 Fixing levels of total cholesterol, triglyceride, HDL and
LDL
 Increasing energy level and enhancing work capacity
 Reducing stress, promoting relaxation, and releasing
tension and anxiety